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Extended Advance Care Planning Discussion

Connecticut rates for HCPCS 99498

This is an extended conversation between a patient and their healthcare provider about future medical care wishes, including decisions about treatments a person would or would not want if seriously ill. It covers additional time spent beyond an initial advance care planning discussion, often completing or updating documents like a living will or healthcare proxy.

Rates data updated October 2026.

How much does Extended Advance Care Planning Discussion cost?

$81.28

Typical physician fee. In Connecticut, October 2026.

Insurers have agreed to pay about $81.28 for this service. Most negotiated rates run $67.61 to $100.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $81 · 10th to 90th $55 to $117
$50$100professional $81

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$85.11
Typical High
$85.11
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$79.43
Typical High
$102.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$91.20
Typical High
$138.04
ConnectiCare
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$102.33
Typical High
$117.49
Health New England
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
United
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$89.13
Typical High
$125.89
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$27.54
Median
$42.66
Typical High
$42.66

Where Connecticut sits

The same service costs 3.0 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Connecticut· 20th of 51

$81.28

AK $174NY $57.54

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.